Wednesday, February 27, 2019
Analysis of Ethical Dilemma Essay
Natural calamities are unforeseeable phenomenas where the impairment may be countless and immeasurable examples of natural calamities are earthquakes, floods and famine. In piazzas like this relief operations are ch eachenging even though mevery organizations and nations extend their resources to overcome the disaster. We often face issues and concerns in a massive disaster which may lead to honorable- predicament and criticism. When we analyze disaster situation ethical concerns arises. Here I would like to present the ethical dilemma affect in the rescue operations in Haiti disaster and abbreviation of the issues.Event and ethical synthesissOne of the biggest and most recent disaster knowledge do important encountered is the Haiti disaster in January, 12, 2010. It was a massive earthquake with 7.0 magnitudes, wiped out thousands of lives and impact millions of mountain (Haiti earthquake, 2010). The earthquake ploughed the main city Port-au-prince just into rubbles. some (prenominal) a(prenominal) throng were trapped in the collapsed buildings. Many important buildings were damaged including parliament, schools, hospitals and main jail (Haiti earthquake, 2010). It resulted in lack of regimen, water, shelter and medical services.Many injure were waiting for immediate medical aid and many died without prompt treatment. In natural disasters people from all over the world offer human-centered aid in the form of donations, medical attention team services, food and other necessary supplies. The U.S Government and many other nations extended their custody for rescue operations. The Israel Government sent a military task military capability consisting of 230 people within 48 hours (NEJM, 2010). Their ultimate goal was to provide livingsaving treatments to the wound to the level it was mathematical. Other troops and volunteer workers on the scene likewise tried their ruff to deliver the best possible dish out to the causalities. honourable conc erns and ethical dilemmaThe troops mission was to provide help to as many people as possible. But the limited resources uncivilised far short than the demands. This put the medical team in conglomerate ethical issues. Haiti is one of the poorest countries of the world with minimal facilities. The disaster left millions of people homeless and in urgent medical needs. The Israeli Field infirmary extended their hospital capacity to 72 from 60 and added one more(prenominal)(prenominal)(prenominal) operating room to beseem increased causalities (NEJM, 2010). In a customary triage system we are setting priorities among patients depending on their clinical conditions and assuming that we provide be able to provide explosive charge to all. In Haiti disaster it was out(predicate) for them to provide care to all who needed. Here the health care workers as well as the victims faced ethical dilemma.The medical team was strained to recognize the fact that the clients who need most urg ent care may consume the majority of their resources. So they had to set up priorities according to the resources visible(prenominal), the naughtiness of the problem and fucking they be saved. Another ethical dilemma the medical team had to encounter was those come with severe injuries needed prolong reclamation and that may run out all of their supplies. So they planned to accommodate patients who can be stabilized in 24 hours. The practical implication of this prioritization resulted in people those who have small chance to survive were not likely to be treated in the ICU (NEJM, 2010).In accessory to that discharging the patients were also challenging since no homes left and children without parents, there was no commit for them to go. Personal ethical values and position using ethical principles In a massive disaster plan in an ethical position I believe the theory of Act- utilitarianism works best to that situation. Act-utilitarianism states, the actions people prefer r esult produce over all good in any given circumstances. This theory also allows different actions in certain circumstances. Their termination on triaging the patients based on the resources and the possible outcome of the intervention in a humanitarian aspect.The ethical principles of beneficence and justice applied in this scenario. According to the principle of beneficence the health care workers were trying their best to provide care to as many as people possible. The ethical principle of distributive justice emphasis on fair and just distribution of goods and services (Burkhardt & Nathaniel, 2008), but in certain situations it is impossible for all people to have everything that they might need. In such(prenominal) cases they can give voice and enforce policies for fair and upright distribution of the available resources.Possible alternatives for solution the problemI.Ask for more medical supplies from organizations like, World Health Organization, Red ill-tempered et. II. Make arrangements to send patients who need more complex care to the nearest available medical centers or hospitals. III.Call for more volunteers to help there by reducing the cost and asking for funds from charitable organizations. IV.Since geographically U. S. is the closest country, request for airlifting the patient to the nearby states hospitals for advanced care. V.Even though insurance can be a hindrance to accept the patients, U. S. Government can offer levy exemptions and grants for the accepting hospitals. VI.Airlift the patients to the accepting countries for advanced care.Examine and categorize the alternativesWhen we categorize the alternatives from 1-6, the frontmost five options are possible alternatives. The 6th option can be possible, but it will be more expensive, time consuming and unguaranteed for unstable patients. Since many organizations started their rescue operations, if the military task force can receive more supplies, they will be able to continue wi th their life saving measures.Possible consequences for the acceptable alternativesWhen other hospitals can accommodate more patients, it may reduce the burden on a single group. Since they already have disaster plan set up, more supplies from other organizations will help them to continue their task without time delay. With tax exemption and grants, more hospitals may take initiative to involve in the health care delivery and if the patient can be airlifted on time many lives can be saved.Prioritize acceptable alternativesI.Provision of more supplies to the functioning units.II.Make arrangements to canalize patients with complex issues to the nearest hospitals.III.Call for more volunteers for additional helpIV.Airlift patients to the nearby countries at the earliest possibleV.Request for more funds, grants, donations from the federal governments and common wealth countries. innovation of actionsThe plan of care is to provide care to as many people as possible with added resources. Transferring of patients to the nearest available hospital for complex care and management. Through financial aid rebuild the health care stand to provide continued care to the Haiti people.EvaluationNatural disasters are unpredictable and every effort needs to be taken to overcome such situation through voluntary support. In this situation the ethics delegacy from a group of physician had to prioritize the cases according to the availability of resources and the chances of survival. In a humanitarian aspect it is necessary to provide fair and equitable distribution of health care as much as possible for a healthy recovery. We often see the best of humanity in moments of extreme calamity. In every disaster situations people who directly involved often faces some sort of ethical issues and dilemma. The best possible personal manner to overcome such situations through mutual effort, ethical decision fashioning and appropriate action plans. Fair and equitable distribution of healt h care is the best approach to every mankind.
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